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Introduction to Disaster Medical Assistance Teams

Introduction to Disaster Medical Assistance Teams. James Fenn, RN, EMT-P Don McConnaughy, EMT-I. Discussion. National Disaster Medical System Disaster Medical Assistance Teams Form and function Ohio teams. Federal Response Plan. Federal Response Plan.

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Introduction to Disaster Medical Assistance Teams

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  1. Introduction to Disaster Medical Assistance Teams James Fenn, RN, EMT-P Don McConnaughy, EMT-I

  2. Discussion • National Disaster Medical System • Disaster Medical Assistance Teams • Form and function • Ohio teams • Federal Response Plan

  3. Federal Response Plan

  4. Federal Response PlanEmergency Support Functions DOE USDA AID DOJ ARC DVA EPA DOD FEMA DOT GSA DOE NCS USDA DOT Energy Food EPA Transportation NCS Hazardous Materials 12 11 1 Communication 10 2 Urban Search and Rescue ESF 9 Public Works (USACE) 3 FEMA DOD 8 8 4 7 Health and Medical 5 Health & Medical Services 6 Firefighting HHS USDA & FS Resource Support Information & Planning HHS Mass Care GSA FEMA ARC

  5. ESF #8 - Health & Medical Services • Functions • Medical Services* • Mental Health Services* • Preventive Health Services • Environmental Health Services/Surveillance * (performed by NDMS)

  6. ESF #8 - Health & Medical Services • Functions • Federal Augmentation for Medical Response to Terrorist Incidents Involving Weapons of Mass Destruction (WMD)* * (performed by NDMS)

  7. National Disaster Medical System

  8. National Disaster Medical System (NDMS)NDMS is a public/private sector partnershipHHS DOD VA FEMA

  9. National Security Decision Directive 47 (NSDD-47) • Approved by the President (July, 1982) • Set forth Emergency Mobilization • Preparedness Principles for: • National Security Emergencies • Domestic Emergencies

  10. NDMS Purpose A Nationwide Medical Response System to: • Supplement state and local medical resources during disasters or major emergencies • Provide backup medical support to the DOD/VA medical care systems during an overseas conventional conflict

  11. Major Components • Medical Response • Patient Evacuation • Definitive Medical Care

  12. Federal Health and Medical Response Natural Disasters Transportation Disasters Terrorism Technological Disasters

  13. State Agencies NDMS Organizational Structure President Homeland Defense ? National Security Council Domestic Policy Council Senior Policy Group (SPG) NDMS Directorate • Members: • Asst. Sec. for Health, HHS (Chair) • Asst. Sec. for Defense, Health Affairs • Director, FEMA • Undersecretary of Health, DVA • Responsibilities • Set policy and Goals for National • Medical Preparedness • Oversee Directorate and Panel • Members: • Deputy Asst. Sec. for Health, HHS • DASD(HA) Medical Readiness • Asst. Associate Director, • Mobilization Preparedness, FEMA • Director, Emergency Management • Strategic Healthcare Group, VA • Responsibilities • Implement Policy NDMS Directorate Staff • Members: • HHS/PHS - Director, NDMS (Chair) • DOD • OASD (HA) • ARMY • NAVY • AIR FORCE • VA • FEMA NDMS Participating Organizations

  14. NDMS Response Teams (HHS Lead) • DMAT • DMORT • VMAT • NMRT/WMD

  15. NDMS Patient Evacuation Lead Responsibility - DOD • Provide Patient Movement from the Disaster Area • Utilize All Types of Transportation • Primarily Relies on Aeromedical

  16. NDMS Definitive Medical Care • Civilian - Military Contingency Hospital System • Network of approximately 2,000 non-Federal hospitals • 63 FCCs, which coordinate in excess of 80 receiving areas

  17. NDMS Definitive Medical Care Lead Responsibility - DOD/ VA • Concentrated in Major Metropolitan Areas • Air Access • Federal Coordinating Centers (FCCs) • Available Hospital Support • Patient Reception and Distribution Capabilities

  18. NDMS Readiness Activities • Maintenance of Plans • Training • Exercises • Special Events • Annual Conferences

  19. System Activation

  20. Circumstances for Which NDMS May be Activated • Military Contingency - Overseas Conventional • Armed Conflict Involving U.S. Forces • Presidential Declaration of Disaster • Request for Major Medical Assistance

  21. Federal Activation • Push Package deployment/EST • Disaster Field Office (DFO) established • Representative to Incident Command Post • Mission assignment and direction per local Incident Command • Federal EOC activated

  22. Disaster Medical Assistance Teams

  23. NDMS Medical Response Disaster Medical Assistance Teams(DMATs) • Approximately 100 Persons per Team (>7,000 personnel) • Variety of Health/Medical Skills • Locally Sponsored • Community Based • Local / State Asset • Volunteer Groups Affiliated with NDMS

  24. NDMS Medical Response Disaster Medical Assistance Teams(DMATs) • Volunteer status until activated • Additional training • HAZMAT • WMD • Disaster response

  25. NDMS Medical Response Disaster Medical Assistance Teams(DMATs) • Federalization Upon Activation • Special Needs Authority • Accepted Volunteer Services Authority • Importance of Federalization • Licensure / Certification • Liability • Compensation • Federal Enrollment of Team Members

  26. NDMS Medical Response Disaster Medical Assistance Teams(DMATs) • DMAT Deployment Asset • 35 member team • Command • Finance • Communications • Logistics/security • Pharmacy • Medical care providers

  27. NDMS Medical Response DMAT Missions At Disaster Site • Triage • Medical Care in austere conditions • Casualty Clearing/Staging At Local NDMS Reception Area • Patient Reception

  28. NDMS Medical Response Fully Deployable LEVEL - I Augmentation LEVEL - II Local Response LEVEL - III

  29. NDMS Response Assets AK ME WA MT ND VT MN NH OR NY MA WI SD MI CT ID WY PA NJ IA RI OH MD DE NE NV IN WV MO IL UT VA CO CA KY KS TN NC SC OK AZ NM AR GA AL MS TX LA HI FL USVI NMRT DMAT-1 MMST (*Local Asset) DMORT NMRT-DC GUAM PR

  30. Limitations • System activation time • Out the door time • Employer right to deny leave • In State Response

  31. DMAT as a local resource

  32. HHS Strategic National Counterterrorism Plan • Develop partnerships to: • Improve local health and medical system capability to respond effectively (MMST) • Improve Federal health and medical capability to rapidly augment State/local response • Includes the National Disaster Medical System (NDMS) • Create local resources - rapid response time required

  33. Ohio DMAT OH-5 OH-6 OH-1

  34. Ohio Assets DMAT MMRS (*Local Asset) DMORT

  35. Formed 1986 Membersip - 120 Command - 5 EMT - 19 Nursing - 30 Physicians - 19 Veterinarian - 1 Logistics/Support - 12 Cross trained Level I team Full basic load Pharmacy cache OH-1 • Location: Toledo

  36. Experience Hurricane Andrew 700 patients 3000 health assessments Hurricane Marilyn 1200 patients Hurricane Floyd Kosovo refugee response Atlanta Olympics NATO Summit 2001 Inauguration Training HAZMAT WMD 180th ONG Lucas County EMS OH-1

  37. Location - Dayton Membership 50 Achieved Level I status 2001 Acquiring basic load OH-5

  38. Experience New York Ice Storms NATO Summit Hurricane Georges Hurricane Floyd Atlanta Olympics World Trade Center Training Medical Communications OH-5

  39. Location: Youngstown Level III team Experience NATO Summit Hurricane Floyd OH-1 drills OH-6

  40. Questions

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